Abstract：
BACKGROUND:Publicly reported hospital scores are used by patients to make health care-related decisions; however, their relationship to clinical outcomes is unknown. METHODS:Through the use of the New York Statewide Planning and Research Cooperative System database, the association between two commonly used scores (Healthgrades and Centers for Medicare & Medicaid Services Hospital Compare) and four clinical outcomes was evaluated in several surgical fields (general, colorectal, hepatobiliary, foregut, and bariatric). RESULTS:After adjusting for patient-level factors, patients from facilities with greater Healthgrades scores were less likely to develop any complication after general surgery operations (P = .0013). Also, greater Healthgrades scores were associated with less 30-day readmissions and emergency department visits for general surgery operations only (P = .0061 and P = .0013, respectively). In addition, greater Healthgrades scores were significantly associated with a lesser hospital length of stay for colorectal, foregut, and general surgery operations. Greater Centers for Medicare & Medicaid Services Hospital Compare scores were significantly associated with less 30-day readmissions and lesser hospital length of stay for specific operative groups. CONCLUSION:Although some specialties demonstrated a correlation, there was no consistent relationship between publicly reported hospital scores and surgical outcomes that contributed to clinically meaningful use for patients or operations.
journal_name
Surgeryjournal_title
Surgeryauthors
Altieri MS,Yang J,Yin D,Bevilacqua LA,Spaniolas K,Talamini MA,Pryor ADdoi
10.1016/j.surg.2018.12.006subject
Has Abstractpub_date
2019-05-01 00:00:00pages
985-989issue
5eissn
0039-6060issn
1532-7361pii
S0039-6060(18)30832-8journal_volume
165pub_type
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